Orange County Health Improvement Plan

Summary of Key Health Indicators

Indicator Orange County Trend Sub-Group Disparities

(compared to Calif. or US) (10% worse than OC average)

Heart Disease and Stroke  25-64 years old: 38.3%
65+ years old: 65.2%
High blood pressure +2.2% increase White: 32.6%
prevalance [LHI] +4.6 (2005-2014)

% adults reporting having  Not available on OC Dashboard
been diagnosed with
hypertension per 2014 CHIS -8.8% per period
-21.0 (2007/09-2011/13)
Coronary heart
disease deaths [LHI]  Not available on OC Dashboard

Age-adjusted rate of deaths -1.6% per period
per 100,000 population due -2.4 (2007/09-2011/13)
to coronary heart disease
per 2011/13 CDPH Death
File

Cerebrovascular
Disease (Stroke)
deaths [LHI]

Age-adjusted rate of deaths
per 100,000 population due
to cerebrovascular disease
per 2011/13 CDPH Death
File

Immunization & Infectious Diseases  Female: 396.1
Black or African American: 385.1
Chlamydia incidence +3.4% per year Native Hawaiian/Pacific Islander:
+42.9 (2009-2014) 408.0
rate
 Black or African American: 610.1
Rate of diagnosed Hispanic or Latino: 249.0
Chlamydia infection per +4.1% per year
100,000 population per 2014 +20.1 (2011-2014)
CDPH STD Control Branch

HIV/AIDS prevalence

Number of individuals living
with HIV per 100,000
population per 2014 OCHCA
Disease Control &
Epidemiology

Orange County Health Improvement Plan 2017-19  Reference Documents  45

Summary of Key Health Indicators

Indicator Orange County Trend Sub-Group Disparities

Kindergartners with (compared to Calif. or US) = (10% worse than OC average)
required Capistrano: 79.1%
immunizations +0.3% per year Laguna Beach Unified: 79.9%
+1.1 (2010-2014) Saddleback Valley Unified: 80.5%
% of kindergarteners with
up-to-date immunizations
per Kindergarten Assessment
Results per 2014 CDPH
Immunizations Branch

Maternal, Fetal, and Infant Health  Anaheim: 4.0
Infant mortality [LHI] Fullerton: 3.9
-4.9% per year Huntington Beach: 4.2
Rate of deaths of infants -0.8 (2009-2013) Santa Ana: 3.6
under one year of age per Tustin: 5.4
1,000 per 2013 CDPH Death  Westminster: 6.3
File Costa Mesa: 8.8%
-4.3% per year Cypress: 9.0%
Preterm births [LHI] -1.6 (2009-2013) Laguna Hills: 8.7%
Lake Forest: 9.8%
% infants born less than 37  Mission Viejo: 9.6%
weeks gestational age per Rancho Santa Margarita: 8.8%
2013 Lucille Packard -1.1% per year Santa Ana: 8.8%
Foundation for Children’s -0.3 (2009-2013) <15 years old: 22.2%
Health 15-17 years old: 7.4%
Trend not available 35-39 years old: 7.3%
Low birth weight [LHI] -6.5% per year 40-44 years old: 9.7%
-4.7 (2010-2012) 45+ years old: 17.9%
% infants weighing less than Asian: 7.2%
5 pounds, 8 ounces (2500 Black: 9.5%
grams) per 2013 CDPH Two or more races: 7.0%
Cypress: 7.1%
Infants exclusively Huntington Beach: 6.9%
Lake Forest: 7.9%
breastfed Mission Viejo: 7.3%
Stanton: 7.1%
% infants exclusively Westminster: 7.8%
breastfed for first three Not available on OC Dashboard
months of life per 2012
MIHA CDPH

46  Reference Documents  Orange County Health Improvement Plan 2017-19

Summary of Key Health Indicators

Indicator Orange County Trend Sub-Group Disparities

(compared to Calif. or US) (10% worse than OC average)

Maternal, Fetal, and Infant Health (continued) Trend not available 0-4 years old: 13.5
5-9 years old: 7.8
Pediatric asthma -9.0% per period Male: 8.5
hospitalization rate -1.5 (2009/11-2011/13) Black or African American: 16.4

Rate of average annual age-  Anaheim: 28.6
adjusted hospitalizations Costa Mesa: 20.5
under 18 years per 10,000 -6.9% per period La Habra: 23.9
per 2011/13 OSHPD -7.1 (2007/09-2011/13) Santa Ana: 39.0

Teen birth rate

Rate of births to teens 15-19
years of age per 1,000 per
2011/13 CDPH

Mental Health  Not available on OC Dashboard
Death rate due to
suicide [LHI] +2.9% per period
+1.0 (2007/09-2011/13)
Age-adjusted death rate per
100,000 due to suicide per Trend not available 18-24 years old: 48.9
2011/13 CDPH -0.3% per period 85+ years old: 58.8
-0.2 (2009/11-2011/13) Black or African American: 77.5
Age-adjusted White, non-Hispanic: 55.6
hospitalization rate Anaheim- 92802: 42.4, 92804:
due to mental health
89.3, 92805: 133.6
Age-adjusted hospitalization
rate adults 18+ years due to  Female: 17.0%
mental health per 10,000 per Latino: 18.2%
2011/13 OSHPD +5.5% per year
+2.7 (2009-2014)
Adults needing help
with behavioral
health issues

% of adults that felt there
was a time in the past 12
months when they needed
to see a professional
because of problems with
their mental health emotions
or use of drugs/alcohol per
2014 CHIS

Orange County Health Improvement Plan 2017-19  Reference Documents  47

Summary of Key Health Indicators

Indicator Orange County Trend Sub-Group Disparities

(compared to Calif. or US) (10% worse than OC average)

Mental Health (continued)  None

Adults needing and -1.4% per year
receiving behavioral -5.3 (2007-2014)
health care services
Trend not available Data indeterminate
% of adults needing care for
emotional or mental health
or substance abuse issues
who stated that they did
obtain help for those issues
in the past year per 2013/14
CHIS

Oral Health

Children who
visited a dentist

% of children who had seen
a dentist in the last year per
2013-2014 CHIS

Dentist rate Trend not available Not available on OC Dashboard

Rate of dentists per 100,000 +4.3% per year
population per 2013 County +8.0 (2010-2013)
Health Rankings

Older Adult Issues  Not available on OC Dashboard

Alzheimer’s Disease +0.1% per year
or dementia among +0.1 (2008-2014)
older adults
 Not available on OC Dashboard
Percentage of Medicare
beneficiaries 65 and older -1.1% per period
treated for Alzheimer’s -1.0 (2007/09-2011/13)
disease or dementia per
2014 CMS

Prevention and Safety

Death rate due to
unintentional injuries
[LHI]

Age-adjusted rate of deaths
due to unintentional injury
per 100,000 population per
2011/13 CDPH Death File

48  Reference Documents  Orange County Health Improvement Plan 2017-19

Summary of Key Health Indicators

Indicator Orange County Trend Sub-Group Disparities

Substance Abuse (compared to Calif. or US) (10% worse than OC average)
Adults who smoke
[LHI]  25-44 years old: 18%
Male: 14.3%
% adults who currently -2.6% per year White: 14.4%
smoke per 2014 CHIS -2.8 (2005-2014)
18-24 years old: 43.8%
Adult binge drinking  25-44 years old: 41.7%
Male: 40.7%
% adults binge drinking on +2.4% increase Latino: 40.2%
one or more occasions in the +1.1 (2007-2014)
past year per 2014 CHIS
(male binge drinking is Not available on Capistrano Unified: 33.7%
defined as 5+ drinks on one OC Dashboard Huntington Beach Union High:
occasion, female binge 32.4%
drinking is 4+ on one  Laguna Beach Union High: 47.6%
occasion) Los Alamitos Unified: 39.0%
Newport-Mesa Unified: 36.4%
Adolescent alcohol Orange Unified: 31.6%
use Not available on OC Dashboard

% 11th graders reporting +1.8% per period
alcohol use in past month +0.7 (2007/09-2011/13)
per 2011/13 CHKS
Not available on Capistrano Unified: 13.6%
Death rate due to OC Dashboard Huntington Beach Union High:
drug use [LHI] 11.5%
Not available on Laguna Beach Unified: 21.3%
Age-adjusted death rate due OC Dashboard Newport-Mesa Unified: 11.6%
to drug use per 100,000 Orange Unified: 14.5%
population per 2011/13 Saddleback Valley Unified: 13.1%
CDPH Death File Capistrano Unified: 19.9%
Laguna Beach Unified: 22.5%
Adolescent smoking Los Alamitos: 19.3%
Orange Unified: 21.8%
Proportion of 11th graders Placentia-Yorba Linda Unified:
who report having smoked a 20.0%
cigarette in the past 30 days Saddleback Valley Unified: 22.1%
per 2011/13 CHKS

11th graders who
have ever used
recreational
prescription drugs

% of 11th grade students
who have reported ever
using prescriptrion drugs for
recreational purposes per
the 2011/13 CHKS

Orange County Health Improvement Plan 2017-19  Reference Documents  49

Summary of Key Health Indicators

Indicator Orange County Trend Sub-Group Disparities
11th graders who use
(compared to Calif. or US) Not available on (10% worse than OC average)
OC Dashboard Capistrano Unified: 23.7%
marijuana Huntington Beach Union High:
21.1%
% of 11th grade students Laguna Beach Unified: 24.2%
who used marijuana one or Los Alamitos Unified: 24.9%
more times during the past Orange Unified: 24.0%
30 days per the 2011/13 Saddleback Valley Unified: 21.1%
CHKS

Social and Economic Indicators

People living below  Under 24 years old: 16.8-19.8%
American Indian / Alaska Native:
poverty level +6.7% per period 18.8%
+3.2 (2005/09-2010/14) Black or African American: 15.0%
% of population living below Hispanic or Latino: 20.4%
the federal poverty level per  Anaheim: 16.9%
2010/14 ACS Costa Mesa: 15.1%
+0.2% per period Fullerton: 17.3%
High school diploma +0.7 (2006/10-2010/14) Garden Grove: 16.9%
San Juan Capistrano: 14.6%
% of individuals 25 and older Trend not available Santa Ana: 22.1%
who had a high school Stanton: 21.8%
diploma or equivalent per Westminster: 17.8%
2010/14 ACS Hispanic or Latino: 59.9%
Anaheim: 75.5%
Severe housing Garden Grove: 73.8%
problems Santa Ana: 54.1%
Stanton: 66.7%
% of households with Westminster: 75.3%
overcrowding, high housing Not available on OC Dashboard
costs, lack of kitchen, or lack
of plumbing per 2007/11 +1.1% per period
County Health Rankings +0.3 (2006/10-2007/11)

Violent crime rate  Not available on OC Dashboard

Rate of violent crimes per -4.4% per year
100,000 per 2013 California -88.1 (2006-2013)
Department of Justice

Data retrieved from OC Dashboard as of March 1, 2016 LHI – Healthy People 2020 Leading Health Indicator
MIHA – Maternal and Infant Health Assessment
Acronyms and Abbreviations OC – Orange County
OCDE – Orange County Department of Education
ACS – American Community Survey OCHCA – Orange County Health Care Agency
AIDS – Acquired Immune Deficiency Syndrome OSHPD – Office of Statewide Health Planning and Development
CDPH – California Department of Public Health US – United States
CHIS – California Health Interview Survey
CHKS – California Healthy Kids Survey
CMS – Centers for Medicare and Medicaid Services
HIV – Human Immunodeficiency Virus

50  Reference Documents  Orange County Health Improvement Plan 2017-19

Citations

Context for Improving Health

1. County of Orange, OC Community Services, Orange County Homeless Point In Time (PIT) Results. Accessed
7/16. Available at http://ocpartnership.net/content/point-in-timeresults.html

2. Creswell J, Abelson R. (2013, August 12). New laws and rising costs create a surge of supersizing hospitals.
The New York Times. p. 13.

3. Centers for Medicare and Medicaid Services (2015, December 3). NHE Fact Sheet. Retrieved from
https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-
Reports/NationalHealthExpendData/NHE-Fact-Sheet.html

OC Healthier Together (www.ochealthiertogether.org) Hyperlinks

 Race/ethnicity: Nielsen Claritas (2016)
 Speak a language other than English at home: Nielsen Claritas (2016)
 Residents born outside of U.S.: American Community Survey (2010-2014)
 Projected older adult population in 2040: California Department of Finance (2016)
 Economic self-sufficiency standard: Center for Community Economic Development (2014)
 Median household income: American Community Survey (2010-2014)
 Annual income: Nielsen Claritas (2016)
 Households spending 30% or more of household income on rent: American Community Survey (2010-

2014)

Infant and Child Health

1. U.S. Public Health Services (Expert Panel on the Content of Prenatal Care). Caring for our future: The content
of prenatal care. Washington, DC: U.S. Department of Health and Human Services, 1989.

2. Kirkham C, et al. Evidence-based prenatal care: Part I. General prenatal care and counseling issues. Am Fam
Physician 2005;17(7):1307-16.

3. Kirkham C, et al. Evidence-based prenatal care: Part II. Third-trimester care and prevention of infectious
diseases. Am Fam Physician 2005;71(8):1555-60.

4. Gartner LM, et al. Breastfeeding and the use of human milk. Pediatrics 2005;115:496-506.
5. Jackson KM and Nazar AM. Breastfeeding, the immune response, and long-term health. JAOA

2006;106(4):203-207.
6. Ip S, et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evidence

Report/Technology Assessment No 153. AHRQ Publication No. 07-E007. Rockville, MD: Agency for
Healthcare Research and Quality, 2007.
7. Hamdan A, Tamim H. The relationship between postpartum depression and breastfeeding. Int J Psychiatry
Med 2012;43(3)243-59.
8. Dennis CL, McQueen K. The relationship between infant-feeding outcomes and postpartum depression: a
qualitative systemic review. Pediatrics 2009;123(4):3736-51.

OC Dashboard (www.ochealthiertogether.org/communitydashboard) Hyperlinks

 Infant mortality: California Department of Public Health
 Early prenatal care: Orange County Master Birth Files (2014). California Department of Public Health

(2009-2013)
 Preterm births: Lucile Packard Foundation for Children’s Health (2013)

Orange County Health Improvement Plan 2017-19  Reference Documents  51

Citations

 5th graders who are obese: California Department of Education (2014-2015)
 Teen birth rate: California Department of Public Health (2013)
 Children with health insurance: American Community Survey (2016)
 Kindergartners with required immunizations: California Department of Public Health, Immunization

Branch (2015)
 Exclusive breastfeeding through 3 months: California Department of Public Health, Maternal Infant Health

Assessment (MIHA)

Older Adult Health

1. The Power of Prevention: Chronic Disease…The Public Health Challenge of the 21st Century; National Center
for Chronic Disease prevention and Health Promotion, 2009

2. Centers for Disease Control and Prevention, National Association of Chronic Disease Directors. The State of
Mental Health and Aging in America Issue Brief 1: What Do the Data Tell Us? Atlanta, GA: National
Association of Chronic Disease Directors; 2008.

3. Agency for Healthcare Research and Quality (AHRQ) Factsheet: Preventing Disability in the Elderly with
Chronic Disease, 2002. Accessed at
http://www.ahrq.gov/research/findings/factsheets/aging/elderdis/index.html

OC Older Adult Dashboard (www.ochealthiertogether.org/olderadultdashboard) Hyperlinks

 Health insurance 65+: American Community Surve3y (2010-2014(
 Certified geriatricians in Orange County: Geriatric Medicine Certification (2015)
 Alzheimer’s disease deaths among 65+: California Department of Public Health (2013)
 Single elders living below the Elder Economic Security Index: UCLA Center for Health Policy Research

(2011)
 Elder couples living below the Elder Economic Security Index: UCLA Center for Health Policy Research

(2011)
 Asthma prevalence 65+: Centers for Medicare and Medicaid (2014)
 Diabetes prevalence 65+: Centers for Medicare and Medicaid (2014)
 High blood pressure (hypertension) prevalence 65+: Centers for Medicare and Medicaid (2014)
 Osteoporosis prevalence 65+: Centers for Medicare and Medicaid (2014)
 ER visits due to falls 65+: California Department of Public Health (2014)
 Hospitalizations due to falls 65+: California Department of Public Health (2014)
 Hospitalizations due to hip fractures males 65+: California Office of Statewide Health Planning and

Development (2012-2014)
 Hospitalizations due to hip fractures females 65+: California Office of Statewide Health Planning and

Development (2012-2014)
 Flu vaccinations 65+: California Health Interview Survey (2014)
 Age-adjusted suicide 65+: California Department of Public Health (2013)
 Hospitalizations due to diabetes 65+: California Office of Statewide Health Planning and Development

(2011-13)
 Hospitalizations due to high blood pressure (hypertension) 65+: California Office of Statewide Health

Planning and Development (2011-13)

52  Reference Documents  Orange County Health Improvement Plan 2017-19

Citations

Obesity and Diabetes

1. Mokdad AH, et al. Actual causes of death in the United States, 2000. JAMA. 2004;291(10):1238-1245.

2. Dietz W. Health consequences of obesity in youth: Childhood predictors of adult disease. Pediatrics
1998;101:518–525.

3. Freedman DS, Khan LK, Dietz WH, Srinivasan SA, Berenson GS. Relationship of childhood obesity to coronary
heart disease risk factors in adulthood: the Bogalusa Heart Study. Pediatrics 2001;108:712–718.

4. Centers for Disease Control and Prevention. Diabetes Report Card 2014. Atlanta, GA: Centers for Disease
Control and Prevention, US Department of Health and Human Services; 2014.

5. Brody SC, et al. Screening for gestational diabetes: A summary of the evidence for the U.S. Preventive
Services Task Force. Obstetrics & Gynecology 2003;101(2):380-392.

OC Dashboard (www.ochealthiertogether.org/communitydashboard) Hyperlinks

 Adults who are obese: California Health Interview Survey (2014)
 5th grade students who are obese: California Department of Education (2014-2015)
 Adults with diabetes: California Health Interview Survey (2014)
 9th grade students body composition: California Department of Education (2014-2015)
 Hospitalizations due to diabetes: California Office of Statewide Health Planning and Development (2012-

14)
 Heart failure rate: California Office of Statewide Health Planning and Development (2012-2014)
 Children living below federal poverty level: American Community Survey (2010-2014)
 Deaths due to diabetes: Orange County Master Death Files (2013)
 Hospitalizations due to short-term complications of diabetes: California Office of Statewide Health

Planning and Development (2012-2014)
 Hospitalizations due to long-term complications of diabetes: California Office of Statewide Health

Planning and Development (2012-2014)
 Hospitalizations due to uncontrolled diabetes: California Office of Statewide Health Planning and

Development (2012-2014)

Behavioral Health

1. Centers for Disease Control and Prevention. CDC Features, An estimated 1 in 10 U.S. adults report
depression. Accessed 8/13. Accessed at: http://www.cdc.gov/features/dsdepression/

2. Mokdad AH, et al. Actual causes of death in the United States, 2000. JAMA 2004; 291(10):1238-1245.

3. Centers for Disease Control and Prevention. Fact Sheets – Underage Drinking. Accessed 11/16. Available at:
http://www.cdc.gov/alcohol/fact-sheets/underage-drinking.htm.

4. National Institute on Alcohol Abuse and Alcoholism. Underage Drinking. Accessed 11/16. Available at:
http://pubs.niaaa.nih.gov/publications/UnderageDrinking/UnderageFact.htm

5. Department of Transportation (US), National Highway Traffic Safety Administration (NHTSA). Traffic Safety
Facts 2014 data: alcohol-impaired driving. Washing, DC: NHTSA; 2015. Accessed 11/16. Available at:
http://www-nrd.nhtsa.dot.gov/Pubs/812231.pdf

Orange County Health Improvement Plan 2017-19  Reference Documents  53

Citations

6. Compton RP, Berning A. Traffic Safety Facts Research Note: drugs and alcohol crash risk. Washington, DC:
NHRSA; 2015. Accessed 11/16. Available at: http://www.nhtsa.gov/staticfiles/nti/pdf/812117-
Drug_and_Alcohol_Crash_Risk.pdf

7. Centers for Disease Control and Prevention. Injury Prevention & Control: Opioid Overdose. Accessed 11/16.
Available at: https://www.cdc.gov/drugoverdose/

8. Drug and Alcohol Overdose Hospitalization and Death in Orange County. Orange County Health Care
Agency and Orange County Sheriff-Coroner Department. Santa Ana, California. October 2014. Available at:
www.ochealthinfo.com/pubs

9. Center for Behavioral Health Statistics and Quality. (2015). Behavioral health trends in the United States:
Results from the 2014 National Survey on Drug Use and Health (HHS Publication No. SMA 15-4927, NSDUH
Series H-50). Accessed 11/16. Available at: http://www.samhsa.gov/data/sites/default/files/NSDUH-FRR1-
2014/NSDUH-FRR1-2014.pdf

10. Volkow ND, Baler RD, Compton WM, Weiss SR. Adverse health effects of marijuana use. New Engl J Med.
2014;370:2219-2227.

11. American College of Pediatricians. Marijuana Use: Detrimental to Youth. Accessed 11/16. Available at:
https://www.acpeds.org/marijuana-use-detrimental-to-youth

12. Centers for Disease Contorl and Prevention. CDC Features, An estimated 1 in 10 U.S. adults report
depression. Accessed 8/13. Accessed at: http://www.cdc.gov/features/dsdepression/

OC Dashboard (www.ochealthiertogether.org/communitydashboard) Hyperlinks

 Adults needing and receiving behavioral health care services: California Health Interview Survey (2014)
 Hospitalizations due to alcohol abuse: California Office of Statewide Health Planning and Development

(2012-2014)
 Hospitalizations due to substance abuse: California Office of Statewide Health Planning and

Development (2012-2014)
 11th grade students reporting alcohol use within last 30 days: California Healthy Kids Survey (2011-2013)
 Alcohol impaired driving deaths: County Health Rankings (2010-2014)
 Opioid overdose ED visits: California Department of Public Health (2014)
 Deaths due to opioid overdose: California Department of Public Health (2014)
 Opioid prescriptions rate: California Department of Public Health (2014)
 11th grade students who have ever used recreational prescription drugs: California Healthy Kids Survey

(2011-2013)
 11th grade students who have ever used marijuana: California Healthy Kids Survey (2011-2013)

New Areas of Interest

1. Institute of Medicine, Committee on Monitoring Access to Personal Health Care Services. Access to health
care in America. Millman M, editor. Washington: National Academies Press; 1993.

2. Kaiser Family Foundation. Key Facts about the Uninsured Population. September 2016. Accessed 11/16.
Available at: http://kff.org/uninsured/fact-sheet/key-facts-about-the-uninsured-population/

54  Reference Documents  Orange County Health Improvement Plan 2017-19

Citations

3. U.S. Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General.
Rockville, MD: U.S. Department of Health and Human Services, National Institute of Dental and Craniofacial
Research, National Institutes of Health, 2000. Accessed 11/16. Available at:
http://www.nidcr.nih.gov/DataStatistics/SurgeonGeneral/sgr/chap6.htm

4. Healthy People 2020. Social Determinants of Health Overview. Accessed 11/16. Available at:
https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health

OC Healthier Together (www.ochealthiertogether.org) Hyperlinks

 People with usual source of health care: California Health Interview Survey (2014)
 Children who visited a dentist: California Health Interview Survey (2014)
 Age, Gender, Race/Ethnicity Breakout Dashboard: www.ochealthiertogether.org/breakoutdashboard
 Orange County’s Healthier Together City Profiles (July 2016): www.ochealthiertogether.org/cityprofiles
 Orange County Health Disparities Report (June 2016): Wilkins J, Tanjasiri S, Ross B. Available at:

http://www.ochealthiertogether.org/content/sites/ochca/OC_Health_Disparities_Report_June_2016.pdf

Orange County Health Improvement Plan 2017-19  Reference Documents  55

Acronyms and Abbreviations

Where possible, acronyms and abbreviations are defined on each page of this report where it appears. Due
to space limitations, the following acronyms and abbreviations may not have been defined on the page of
the report where it appears.

 < – Less than
 + – Before a number indicates increase
 + – After a number indicates age group equal to and older than the number
 - – Before a number indicates decrease
 ACA – Patient Protection and Affordable Care Act
 ACS – American Community Survey
 AIDS – Acquired Immune Deficiency Syndrome
 Calif. – California
 CBO – Community Based Organization
 CDC – Centers for Disease Control and Prevention
 CDPH – California Department of Public Health
 CHIS – California Health Interview Survey
 CHKS – California Healthy Kids Survey
 CMS – Centers for Medicare and Medicaid Services
 CSUF – California State University at Fullerton
 ED – Emergency Department
 ER – Emergency Room
 HIP – Health Improvement Partnership
 HIV – Human Immunodeficiency Virus
 LHI – Indicates Healthy People 2020 Leading Health Indicator
 MAPP – Mobilizing for Action through Planning and Partnerships
 MIHA – Maternal and Infant Health Assessment
 OC – Orange County
 OCDE – Orange County Department of Education
 OCHCA – Orange County Health Care Agency
 OSHPD – Office of Statewide Health Planning and Development
 SWITRS – Statewide Integrated Traffic Records System
 UCI – University of California at Irvine
 UCLA – University of California at Los Angeles
 US – United States
 USD – Unified School District

56  Reference Documents  Orange County Health Improvement Plan 2017-19

Orange County Health Improvement Plan

2017-19

For more information or to get involved, contact:
Jane Chai, Public Health Projects Manager
Orange County Health Care Agency
(714) 834-7776
[email protected]
www.ochealthiertogether.org